维持性血液透析患者蛋白质能量消耗的中医药防治进展

Progress in Prevention and Treatment of Protein Energy Wasting in Maintenance Hemodialysis Patients with Traditional Chinese Medicine

蛋白质能量消耗(PEW)在长期维持性血液透析(MHD)患者中普遍存在,严重影响MHD患者的生存质量、长期生存时间。目前,针对MHD患者PEW的防治主要提倡在充分透析的基础上结合营养筛查和营养补充。近年来,在规律的血液透析和常规治疗工作上,针对并发症采用中医药治疗,可提高透析患者的生存质量、延长生存时间。中医药在防治MHD患者的PEW方面有确切疗效,其可提高MHD患者的透析耐受性、减少并发症、改善饮食情况及整体功能状态。未来,应进一步研究中医药在防治MHD患者PEW中的作用,以为临床应用提供参考。

Protein energy wasting( PEW) is common in patients with long-term maintenance hemodialysis( MHD),which seriously affects the quality of life and long-term survival time of MHD patients. At present,the prevention and treatment of PEW in MHD patients mainly advocates the combination of nutritional screening and nutritional supplementation on the basis of adequate dialysis. In recent years,in regular hemodialysis and routine treatment,traditional Chinese medicine treatment for complications can improve the quality of life and prolong the survival time of the dialysis patients. Traditional Chinese medicine has definite effect in preventing and treating PEW in MHD patients. It can improve dialysis tolerance,reduce complications,improve diet and overall functional status of MHD patients. In the future,the role of traditional Chinese medicine in the prevention and treatment of PEW in MHD patients should be further studied in order to provide reference for the clinical application.